Evidence map›Paper›PMID 25002147›Full record

ArticleInternational journal of obesity (2005)2015

Regional variations in the relationship between arterial stiffness and adipocyte volume or number in obese subjects.

P Arner, J Bäckdahl, P Hemmingsson, P Stenvinkel, D Eriksson-Hogling, E Näslund, A Thorell, D P Andersson, K Caidahl, M Rydén

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in International journal of obesity (2005), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Impaired atrial natriuretic peptide-mediated lipolysis in obesity.International journal of obesity (2005) · 2016
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

P ArnerDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
J BäckdahlDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
P HemmingssonDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
P StenvinkelDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
D Eriksson-HoglingDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
E NäslundDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
A Thorell1] Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden [2] Department of Surgery, Karolinska Institutet, Ersta Hospital, Stockholm, Sweden.
D P AnderssonDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
K CaidahlDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Solna, Sweden.
M RydénDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease is associated with multiple risk factors including stiff arteries and large adipocytes. Whether the latter two are interrelated is unknown. We aimed to determine whether arterial stiffness is associated with fat cell size and number in subcutaneous or visceral white adipose tissue (WAT).

methodsA cross-sectional study of 120 obese subjects scheduled for bariatric surgery in whom WAT mass and distribution was assessed by dual-X-ray absorptiometry. Biopsies from visceral (greater omentum) and subcutaneous (abdominal) WAT were obtained to calculate fat cell volume and number. Arterial stiffness was determined as aortic pulse wave velocity (PWV).

resultsVisceral adipocyte volume, but not number, was strongly (P<0.0001) and positively correlated with PWV, explaining 20% of the inter-individual variations in this parameter. This relationship remained significant after correction for clinical confounders. PWV correlated positively (r=0.38, P<0.0001) with visceral (but not subcutaneous) WAT mass. Furthermore, PWV was also positively associated with subcutaneous adipocyte volume (r=0.20, P=0.031) and negatively with fat cell number (r=-0.26, P=0.006). However, the relationships between PWV and visceral WAT mass or subcutaneous fat cell size/number became non-significant when controlling for visceral fat cell volume. In a multiple regression analysis to determine the factors that explain variations in PWV, only visceral fat cell volume, age, pulse rate and diastolic blood pressure entered the model, together explaining 42% of the variation in PWV.

conclusionsVisceral fat cell volume was the only WAT parameter that constituted an independent and significant, positive regressor for arterial stiffness determined by PWV. Although a causal relationship is not established, visceral fat cell volume may explain the well-known correlation between central fat mass, arterial stiffness and cardiovascular risk, at least in severely/morbidly obese subjects.

Indexed as

Vascular StiffnessAdipocytesAdipose Tissue, WhiteAdultAge FactorsBariatric SurgeryCardiovascular DiseasesCell SizeCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleObesity, MorbidRisk Factors

Identifiers

PMID25002147
OpenAlexW2027766005

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.